Individual
ELIZABETH NICOLE LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
Mailing address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/13/2008
Last updated
03/13/2014
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